Management of hypercalcemia in relation to pathophysiology.

Abstract:

:Hypercalcemia results from an imbalance between the fluxes of calcium (Ca) entering and leaving the extracellular space. The two most important influxes are the net intestinal Ca absorption and the net skeletal Ca resorption, whereas the renal excretion represents the main route of elimination. When produced in excess, various factors, particularly calciotropic hormones and cytokines, can disturb the Ca fluxes at intestinal, skeletal and renal tubular sites. If the excessive production of these substances cannot be controlled by surgical or pharmacological means, the next most rational therapeutic strategy should be aimed at correcting those Ca fluxes which are abnormally increased. In hypercalcemia of malignancy (HM), an augmentation in net bone resorption (BR) is observed in most patients. However, a sustained stimulation in tubular Ca reabsorption (TRCa), despite correction of volume depletion by saline infusions, may not only contribute to the hypercalcemia, but in some cases it appears to be the prevailing disturbance. In these patients the effects of the antiresorbing agent clodronate (500 mg/8 h iv in one single infusion) is incomplete, despite the normalisation of BR. Thus, administration of an antiresorbing agent, such as clodronate, is the treatment of choice in HM with elevated BR and normal TRCa. It should be given with other therapeutic agents when a sustained increase in TRCa is the prevailing mechanism for hypercalcemia. In this regard, experimental studies suggest that the agent WR-2721, which specifically inhibits TRCa could be an effective drug for rapidly lowering plasma Ca in HM with high TRCa.

journal_name

Bone

journal_title

Bone

authors

Bonjour JP,Rizzoli R,Hirschel-Scholz S,Caverzasio J

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

S29-33

eissn

8756-3282

issn

1873-2763

journal_volume

8 Suppl 1

pub_type

杂志文章,评审

相关文献

BONE文献大全
  • Massive osteopetrosis caused by non-functional osteoclasts in R51Q SNX10 mutant mice.

    abstract::The R51Q mutation in sorting nexin 10 (SNX10) was shown to cause a lethal genetic disease in humans, namely autosomal recessive osteopetrosis (ARO). We describe here the first R51Q SNX10 knock-in mouse model and show that mice homozygous for this mutation exhibit massive, early-onset, and widespread osteopetrosis. The...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2020.115360

    authors: Stein M,Barnea-Zohar M,Shalev M,Arman E,Brenner O,Winograd-Katz S,Gerstung J,Thalji F,Kanaan M,Elinav H,Stepensky P,Geiger B,Tuckermann J,Elson A

    更新日期:2020-07-01 00:00:00

  • Does estrogen stimulate osteoblast function in postmenopausal women?

    abstract::How estrogen therapy influences bone metabolism in postmenopausal women has previously been studied using several approaches, including bone densitometry, measurement of biochemical markers of bone turnover, and histomorphometry. Taken together, these investigations suggest that conventional doses of estrogen protect ...

    journal_title:Bone

    pub_type: 杂志文章,评审

    doi:10.1016/s8756-3282(98)00156-2

    authors: Tobias JH,Compston JE

    更新日期:1999-02-01 00:00:00

  • Crosstalk between Activin A and Shh signaling contributes to the proliferation and differentiation of antler chondrocytes.

    abstract::Chondrocyte proliferation and differentiation are crucial for endochondral ossification and strictly regulated by numerous signaling molecules and transcription factors, but the hierarchical regulatory network remains to be deciphered. The present study emphasized the interplay of Activin A, Foxa, Notch and Shh signal...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2019.03.036

    authors: Ma L,Duan CC,Yang ZQ,Ding JL,Liu S,Yue ZP,Guo B

    更新日期:2019-06-01 00:00:00

  • The clover and heart signs in vertebral scintigraphic images are highly specific of Paget's disease of bone.

    abstract:BACKGROUND:Bone scintigraphy used as a diagnostic technique frequently yields non-specific intense uptake by vertebrae. Bone biopsy may therefore be required to establish a diagnosis in cases of Paget's disease of bone. The aim of the study was to ascertain the sensitivity and specificity of two new images-heart sign a...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2003.10.014

    authors: Rotés-Sala D,Monfort J,Solano A,Miralles E,Vila J,Carbonell J

    更新日期:2004-04-01 00:00:00

  • Bone mineralization density and femoral neck fragility.

    abstract::The traditional view of osteoporotic fractures is that they result from a reduction in bone mass combined with alterations in the micro-architecture. Apart from the effects of bone remodeling, the material properties of the remaining bone are thought to be unaffected. To test this, we compared the degree of matrix min...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2004.05.025

    authors: Loveridge N,Power J,Reeve J,Boyde A

    更新日期:2004-10-01 00:00:00

  • The bisphosphonate zoledronic acid decreases tumor growth in bone in mice with defective osteoclasts.

    abstract::Bisphosphonates (BPs), bone targeted drugs that disrupt osteoclast function, are routinely used to treat complications of bone metastasis. Studies in preclinical models of cancer have shown that BPs reduce skeletal tumor burden and increase survival. Similarly, we observed in the present study that administration of t...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2009.01.010

    authors: Hirbe AC,Roelofs AJ,Floyd DH,Deng H,Becker SN,Lanigan LG,Apicelli AJ,Xu Z,Prior JL,Eagleton MC,Piwnica-Worms D,Rogers MJ,Weilbaecher K

    更新日期:2009-05-01 00:00:00

  • Expression of fibrillins and other microfibril-associated proteins in human bone and osteoblast-like cells.

    abstract::Fibrillin-containing microfibrils are structural components of extracellular matrices of a diverse range of tissues, including bone. Their importance in bone biology is illustrated by the skeletal abnormalities manifest in the congenital disorder, Marfan syndrome, which results from mutations in the fibrillin-1 gene. ...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(00)00292-1

    authors: Kitahama S,Gibson MA,Hatzinikolas G,Hay S,Kuliwaba JL,Evdokiou A,Atkins GJ,Findlay DM

    更新日期:2000-07-01 00:00:00

  • Bone geometry and microarchitecture deficits in children with Alagille syndrome.

    abstract::Alagille syndrome (ALGS) is an autosomal dominant disorder attributed to mutations in the Notch signaling pathway. Children with ALGS are at increased risk for fragility fracture of unknown etiology. Our objective was to characterize bone mass, geometry, and microarchitecture in children with ALGS. This was a cross-se...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2020.115576

    authors: Kindler JM,Mitchell EL,Piccoli DA,Grimberg A,Leonard MB,Loomes KM,Zemel BS

    更新日期:2020-12-01 00:00:00

  • Histomorphometric analysis of the effects of osteocyte density on osteonal morphology and remodeling.

    abstract::Osteocytes, the most abundant cells in the cortical bone matrix, are thought to have mechanosensory and chemosensory regulatory roles. Marotti theorized that osteocytes signal to osteoblasts to recruit them into the osteocyte lineage. Martin extended this theory, assuming that osteocytes display a general inhibitory e...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(03)00245-x

    authors: Metz LN,Martin RB,Turner AS

    更新日期:2003-11-01 00:00:00

  • Mouse genetic model for bone strength and size phenotypes: NZB/B1NJ and RF/J inbred strains.

    abstract::The relationships of bone size, bone strength, and bone formation were investigated in two strains of mice, NZB/B1NJ and RF/J. Measurement of the femur midshaft size by peripheral quantitative computed tomography (pQCT) showed that the RF/J mice had a 32% greater cross-sectional area than NZB/B1NJ mice at 10 weeks of ...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(02)00908-0

    authors: Wergedal JE,Sheng MH,Ackert-Bicknell CL,Beamer WG,Baylink DJ

    更新日期:2002-12-01 00:00:00

  • Effects of nicotine on cellular function in UMR 106-01 osteoblast-like cells.

    abstract::We examined the effect of nicotine on cellular proliferation, as measured by [3H]thymidine (TdR) incorporation and cell count, and on alkaline phosphatase activity in UMR 106-01 rat osteoblastic osteosarcoma cells. The cells were cultured with varying concentrations of nicotine in serum-free medium for 2 to 72 hours. ...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/8756-3282(91)90077-v

    authors: Fang MA,Frost PJ,Iida-Klein A,Hahn TJ

    更新日期:1991-01-01 00:00:00

  • Differential effects of high-physiological oestrogen on the degeneration of mandibular condylar cartilage and subchondral bone.

    abstract::The striking predilection of temporomandibular disorders (TMD) in women, especially during gonad-intact puberty or reproductive years, indicates that oestrogen plays an important role in the progression of TMD, but the underlying mechanism remains unclear. In this study, unilateral anterior crossbite (UAC) was used to...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2018.03.008

    authors: Ye T,Sun D,Mu T,Chu Y,Miao H,Zhang M,Yang H,Liu Q,Lu L,Xing X,Yu S

    更新日期:2018-06-01 00:00:00

  • High-resolution morphometric analysis of human osteoblastic cell adhesion on clinically relevant orthopedic alloys.

    abstract::Understanding the cellular basis of osteoblastic cell-biomaterial interaction is crucial to the analysis of the mechanism of osseointegration, a requirement of long-term orthopedic implant stability. Clinically, the amount of bone ingrowth is variable, and cellular parameters that influence ingrowth have yet to be cle...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(99)00077-0

    authors: Shah AK,Sinha RK,Hickok NJ,Tuan RS

    更新日期:1999-05-01 00:00:00

  • High resolution computed tomography of the vertebrae yields accurate information on trabecular distances if processed by 3D fuzzy segmentation approaches.

    abstract:INTRODUCTION:The structure of trabecular bone represents an aspect of bone properties that affects vertebral bone strength independently of bone mineral density [M. Kleerekoper, A. Villanueva, J. Stanciu, D. Rao, and A. Parfitt. The role of three-dimensional trabecular microstructure in the pathogenesis of vertebral co...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2008.08.131

    authors: Krebs A,Graeff C,Frieling I,Kurz B,Timm W,Engelke K,Glüer CC

    更新日期:2009-01-01 00:00:00

  • Steering the osteoclast through the demineralization-collagenolysis balance.

    abstract::There is a lot of interest for how and how much osteoclasts resorb bone. However, little is known about the mechanism which controls the orientation and the duration of a resorptive event, thereby determining the specific geometry of a cavitation. Here we show that the relative rate of collagenolysis vs. demineralizat...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2013.06.007

    authors: Søe K,Merrild DM,Delaissé JM

    更新日期:2013-09-01 00:00:00

  • Optimal vitamin D status and its relationship with bone and mineral metabolism in Hong Kong Chinese.

    abstract:BACKGROUND:Although 25-hydroxyvitamin D (25[OH]D) is commonly used to define vitamin D status, there is no consensus on the cutoff levels for vitamin D deficiency and insufficiency. In this study, we aimed to identify the 25(OH)D threshold that maximally suppressed parathyroid hormone (PTH) in Hong Kong Chinese populat...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2017.01.030

    authors: Leung RY,Cheung BM,Nguyen US,Kung AW,Tan KC,Cheung CL

    更新日期:2017-04-01 00:00:00

  • Bone mass and endocrine adaptations to training in spinal cord injured individuals.

    abstract::To investigate whether exercise training can produce increases in bone mass in spinal cord-injured (SCI) individuals with established disuse osteopenia, nine subjects (age 28.2 years, time since injury 6.0 years, level of injury C5-T7) were recruited for a 9-month training program using functional electrical stimulati...

    journal_title:Bone

    pub_type: 临床试验,杂志文章

    doi:10.1016/8756-3282(96)00109-3

    authors: Bloomfield SA,Mysiw WJ,Jackson RD

    更新日期:1996-07-01 00:00:00

  • Stimulation of osteoinduction in bone wound healing by high-molecular hyaluronic acid.

    abstract::To study the osteoinductive action of hyaluronic acid (HA), we examined the effects of applying an elastoviscous high-molecular HA preparation on bone wound healing after bone marrow ablation. The middiaphyses of cortical bones from rat femurs were perforated with a round bar, and excavated marrow cavities were filled...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(94)00001-8

    authors: Sasaki T,Watanabe C

    更新日期:1995-01-01 00:00:00

  • The mechanical consequence of actual bone loss and simulated bone recovery in acute spinal cord injury.

    abstract:INTRODUCTION:Spinal cord injury (SCI) is characterized by rapid bone loss and an increased risk of fragility fracture around regions of the knee. Our purpose was to quantify changes in torsional stiffness K and strength Tult at the proximal tibia due to actual bone loss and simulated bone recovery in acute SCI. METHOD...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2013.12.012

    authors: Edwards WB,Schnitzer TJ,Troy KL

    更新日期:2014-03-01 00:00:00

  • The radiographic trabecular pattern of hips in patients with hip fractures and in elderly control subjects.

    abstract::Due to the increasing number of osteoporotic fractures of hip, spine, and wrist there is a growing need for methods to track down the subjects with inferior bone structure and to monitor the effects of therapeutic measures. This study aims at a noninvasive diagnostic tool, deriving architectural properties of trabecul...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(97)00233-0

    authors: Geraets WG,Van der Stelt PF,Lips P,Van Ginkel FC

    更新日期:1998-02-01 00:00:00

  • Reduced trabecular bone mass and strength in mice overexpressing Gα11 protein in cells of the osteoblast lineage.

    abstract::G protein-coupled receptors (GPCRs) require G proteins for intracellular signaling to regulate a variety of growth and maintenance processes, including osteogenesis and bone turnover. Bone maintenance events may be altered by changes in the activity or level of G proteins, which then modify signaling in bone cells suc...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2013.11.021

    authors: Dela Cruz A,Mattocks M,Sugamori KS,Grynpas MD,Mitchell J

    更新日期:2014-02-01 00:00:00

  • Adhesive capsulitis of the shoulder (frozen shoulder) produces bone loss in the affected humerus, but long-term bony recovery is good.

    abstract::The objective of the study was to assess the short- and long-term effects of adhesive capsulitis (frozen shoulder) on the bone mineral density (BMD) of the affected extremity. BMD and clinical status of 22 patients (group A) with active-phase unilateral adhesive capsulitis and 31 patients (group B) with a previous adh...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(98)00049-0

    authors: Leppälä J,Kannus P,Sievänen H,Järvinen M,Vuori I

    更新日期:1998-06-01 00:00:00

  • Anatomic variations of the lacunar-canalicular system influence solute transport in bone.

    abstract::Solute transport in the lacunar-canalicular system (LCS) is essential for bone metabolism and mechanotransduction. Using the technique of fluorescence recovery after photobleaching (FRAP) we have been quantifying solute transport in the LCS of murine long bone as a function of loading parameters and molecular size. Ho...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2009.06.026

    authors: Zhou X,Novotny JE,Wang L

    更新日期:2009-10-01 00:00:00

  • Effect of gene dose and parental origin on bone histomorphometry in X-linked Hyp mice.

    abstract::X-linked hypophosphatemia (XLH) is characterized by rickets and osteomalacia and arises from mutations in the Phex and PHEX genes in mice (Hyp) and humans, respectively. The present study was undertaken to examine the effect of gene dose on the skeletal phenotype using a histomorphometric approach. Metrical traits (ve...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2003.09.004

    authors: Qiu ZQ,Travers R,Rauch F,Glorieux FH,Scriver CR,Tenenhouse HS

    更新日期:2004-01-01 00:00:00

  • Positive effect of low dose vitamin D supplementation on growth of fetal bones: A randomized prospective study.

    abstract::The effect of vitamin D supplementation on growth of fetal bones during pregnancy is unclear. The aim of this study was to assess the effect of low dose vitamin D supplementation during pregnancy on bony anthropometric aspects of the fetus. In this prospective randomized trial, 140 patients were divided into two equal...

    journal_title:Bone

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.bone.2019.02.022

    authors: Vafaei H,Asadi N,Kasraeian M,Shahraki HR,Bazrafshan K,Namazi N

    更新日期:2019-05-01 00:00:00

  • The effect of monomer-to-powder ratio on the material properties of cranioplastic.

    abstract::Percutaneous vertebroplasty consists of injecting polymethylmethacrylate cement into the cancellous bone of vertebral bodies for the treatment of various lesions of the spine, including osteoporotic compression fractures. Clinicians practicing vertebroplasty commonly alter the mixture of monomer-to-powder recommended ...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/s8756-3282(99)00129-5

    authors: Jasper LE,Deramond H,Mathis JM,Belkoff SM

    更新日期:1999-08-01 00:00:00

  • Intensity-related differences in collagen post-translational modification in MC3T3-E1 osteoblasts after exposure to low- and high-intensity pulsed ultrasound.

    abstract::Low-intensity pulsed ultrasound (LIPUS) has distinct effects on biologic mineralization at intensities of <100 mW/cm2. Intensity-dependent differences in the pattern of accelerated mineralization may be due to different alterations in regulation of collagenous matrix formation. However, little is known about the influ...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2004.04.024

    authors: Saito M,Soshi S,Tanaka T,Fujii K

    更新日期:2004-09-01 00:00:00

  • Monitoring bone strontium levels of an osteoporotic subject due to self-administration of strontium citrate with a novel diagnostic tool, in vivo XRF: a case study.

    abstract::A previously developed in vivo X-ray fluorescence (IVXRF) I-125 based system was used to measure bone strontium levels non-invasively in an osteoporotic female volunteer. The volunteer was recruited in December 2008, as part of the Ryerson and McMaster University Strontium in Bone Research Study and measured at twice ...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2012.04.008

    authors: Moise H,Adachi JD,Chettle DR,Pejović-Milić A

    更新日期:2012-07-01 00:00:00

  • Microcracks in subchondral bone plate is linked to less cartilage damage.

    abstract:OBJECTIVES:Osteoarthritis (OA) is a disease of the whole joint characterized by cartilage loss and subchondral bone remodeling. The role of microcracks in cartilage integrity and subchondral bone homeostasis is not fully understood. The main goal of this work was to evaluate microcrack density in both calcified cartila...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/j.bone.2019.03.011

    authors: Zarka M,Hay E,Ostertag A,Marty C,Chappard C,Oudet F,Engelke K,Laredo JD,Cohen-Solal M

    更新日期:2019-06-01 00:00:00

  • Determinants of bone gamma-carboxyglutamic acid-containing protein in plasma of healthy aging subjects.

    abstract::The gamma-carboxy glutamic acid (Gla)-containing protein of mammalian bone (BGP, also called osteocalcin) is a 49 amino acid polypeptide containing two to three residues of gamma-carboxyglutamic acid. BGP is synthesized by osteoblastlike cells, and plasma BGP in laboratory animals is derived principally from recently ...

    journal_title:Bone

    pub_type: 杂志文章

    doi:10.1016/8756-3282(85)90400-4

    authors: Catherwood BD,Marcus R,Madvig P,Cheung AK

    更新日期:1985-01-01 00:00:00